Abstract
OBJECTIVES: The Minnesota Department of Health surveyed registered mammography facilities to assess their accreditation status prior to full implementation of the Federal Mammography Quality Standards Act (MQSA), which mandated accreditation of all mammography facilities by October 1994; to strategize on the steps that might be taken to avoid closure of facilities; and to evaluate the ultimate impact of the law on the availability of mammography in Minnesota. METHODS: Mammography facilities registered with the Radiation Control Section of the state health department were surveyed five months prior to and four months after the October 1994 deadline. Data collected included accreditation status, plans for continuing service, number of mammograms performed, and areas in which technical assistance was needed. In October 1995, the number and distribution of facilities were determined from the Radiation Control Section registration database. RESULTS: The pre-MQSA survey of 182 respondents found that 96% planned to continue mammography services but only 49% were accredited. The remaining 51% had applications in progress. In the post-MQSA survey, 70% of 182 facilities were found to be accredited, and 30% were operating under provisional certification. As of October 1995, although six facilities had closed, there was a net gain of four mammography facilities providing on-site service. CONCLUSIONS: Despite fears to the contrary, access to mammography in the state of Minnesota was not adversely affected by full implementation of the Mammography Quality Standards Act.
Full text
PDFSelected References
These references are in PubMed. This may not be the complete list of references from this article.
- Fintor L., Alciati M. H., Fischer R. Legislative and regulatory mandates for mammography quality assurance. J Public Health Policy. 1995 Spring;16(1):81–107. [PubMed] [Google Scholar]
- Fletcher S. W., Black W., Harris R., Rimer B. K., Shapiro S. Report of the International Workshop on Screening for Breast Cancer. J Natl Cancer Inst. 1993 Oct 20;85(20):1644–1656. doi: 10.1093/jnci/85.20.1644. [DOI] [PubMed] [Google Scholar]
- Hendrick R. E. Mammography quality assurance. Current issues. Cancer. 1993 Aug 15;72(4 Suppl):1466–1474. doi: 10.1002/1097-0142(19930815)72:4+<1466::aid-cncr2820721409>3.0.co;2-a. [DOI] [PubMed] [Google Scholar]
- Hoffman F. A., Rheinstein P. H., Houn F. The Mammography Quality Standards Act of 1992. Am Fam Physician. 1994 Jun;49(8):1965–1970. [PubMed] [Google Scholar]
- McLelland R., Hendrick R. E., Zinninger M. D., Wilcox P. A. The American College of Radiology Mammography Accreditation Program. AJR Am J Roentgenol. 1991 Sep;157(3):473–479. doi: 10.2214/ajr.157.3.1872231. [DOI] [PubMed] [Google Scholar]
- Sickles E. A., Kopans D. B. Deficiencies in the analysis of breast cancer screening data. J Natl Cancer Inst. 1993 Oct 20;85(20):1621–1624. doi: 10.1093/jnci/85.20.1621. [DOI] [PubMed] [Google Scholar]